Provider Demographics
NPI:1912671181
Name:BAILEY ACUPUNCTURE LTD
Entity type:Organization
Organization Name:BAILEY ACUPUNCTURE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DAC
Authorized Official - Phone:312-965-6234
Mailing Address - Street 1:10931 S TALMAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-1817
Mailing Address - Country:US
Mailing Address - Phone:312-919-9342
Mailing Address - Fax:
Practice Address - Street 1:9031 W 151ST ST STE 102
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-6562
Practice Address - Country:US
Practice Address - Phone:312-965-6234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty